Active NPIOrganization

John A Dudley DMD And Deider M Condon DMD LLC

Dentist, General Practice in Newtown, Connecticut

NPI Number1619061504
Practice location
172 Mt Pleasant RD, Newtown, CT 06470
Fax
203-270-1555
Last updated
August 22, 2020

John A Dudley DMD And Deider M Condon DMD LLC is a healthcare organization based in Newtown, CT. John A Dudley DMD And Deider M Condon DMD LLC practices in Newtown, CT. The NPI Number for John A Dudley DMD And Deider M Condon DMD LLC is 1619061504 and holds a License No. 8304 (CT). The current practice location address for John A Dudley DMD And Deider M Condon DMD LLC is 172 Mt Pleasant RD, Newtown, CT 06470 and can be reached out via phone at 203-426-0045 and via fax at 203-270-1555.

Provider Profile Details

NPI Number
1619061504
Provider Name
John A Dudley DMD And Deider M Condon DMD LLC
Provider Entity Type
Organization
Address
172 Mt Pleasant RD, Newtown, CT 06470
Phone Number
203-426-0045
Fax Number
203-270-1555
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
John A Dudley, DMD · Owner Dentist · 203-426-0045
Other Names
LLC (Other Name)
Provider Enumeration Date
October 3, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
172 Mt Pleasant RD
Newtown, CT 06470
Zip
06470
Phone Number
203-426-0045
Fax Number
203-270-1555
Newtown, CT 06470Get directions →

Provider Business Mailing Address Details

Address
172 Mt Pleasant RD
Newtown, CT 06470
City
Newtown
State
CT
Zip
06470
Phone Number
203-426-0045
Fax Number
203-270-1555

License Information

License Number (1)
8304
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
9004
License State (2)
CT
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
5576
License State (3)
CT
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John A Dudley DMD And Deider M Condon DMD LLC?

The NPI number of John A Dudley DMD And Deider M Condon DMD LLC is 1619061504. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of John A Dudley DMD And Deider M Condon DMD LLC?

John A Dudley DMD And Deider M Condon DMD LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8304.

Where does John A Dudley DMD And Deider M Condon DMD LLC practice?

The practice location is 172 Mt Pleasant RD, Newtown, CT 06470. The office can be reached at 203-426-0045 (phone) or 203-270-1555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619061504 directly on the NPPES registry website.

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